Individual
KRYSTLE RAGER BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
100 CENTURY PARK S, BIRMINGHAM, AL 35226-3949
(205) 565-6554
Mailing address
5005 JACOBS WAY, BESSEMER, AL 35022-8309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05144
AL
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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